| NPI | 1215493416 |
|---|---|
| Doing Business As | PATRIOT REHABILITATION AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DAWNE SMITH Manager 318-812-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |